Transcript Document

HMIS 301:
Advanced HMIS
Improvement through Innovation
Agenda
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Program Evaluation
Client Level Database
Self Sufficiency Matrix
Innovative ways to collect data
AIRS Taxonomy/data mapping
Other questions?
Innovation in Program Evaluation
• Show what works to improve PATH participant outcomes
• Showcase effectiveness of program to community and
funders
• Improve staff to client interaction
• Help plan for the future
• Build knowledge of program, outcomes and processes
• Identify unmet needs and gaps in service delivery
• Inadequate funding for services, lack of service coverage in rural
areas
HMIS Client Database
• Detailed, client level data about everyone served
• Track program entries/exits and PATH project interventions
• Ability to look at client data individually, in aggregate and
longitudinally
• Current status and trends
• Develop detailed and customized reports, charts
• Develop report libraries for reuse
• Produce PATH Annual Report
Innovation in Data Quality
• Computers will unquestionably process the nonsensical data
(garbage in) and produce nonsensical output (garbage out)
• Data Good – Bad Data Bad: its all about data quality
• Produce an accurate story of annual PATH program activity
• Example Strategies:
o Provider data quality report card, published so all
providers can see who is most successful
o Link payment to HMIS data
o Reporting Tools: Missing data reports (name,
demographics, services provided)
o Develop required fields that must be completed
o On-going training and technical assistance – 30% staff
turnover in PATH reporting staff from 2008 to 2009
Evaluation measures
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Length of Stay (LOS)
Exit destination - positive destination
Demographic (age, race, gender) analysis
Income and employment
Funding and availability of services and supports
Service bundles provided leading to positive outcomes
Enhanced case management and follow up
Recidivism rates for people returning back to homelessness
Advanced features of HMIS for
Monitoring Programs
• Detailed client based information on everyone served by
PATH
• Real-time access to data for reporting and analysis
• Record detailed client profiles, assessments, referral,
historical information, and outcome measurements
• Generate reports for internal use, reporting to funders and
community organizations
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Self Sufficiency Matrix
Two key features
• 18 domains in the Matrix
• Client's status on each domain is measured on a 5 point
scale
• Provides standardized outcomes measurement
• Measurement taken at program entry and periodically to
measure progress
Self Sufficiency Matrix History
• Developed by the Arizona Homeless Evaluation
project, the Self Sufficiency Matrix has been
tested for validity and reliability
• A matrix is completed for each adult in the
household who is age 18 or older
• Data is analyzed to measure participants
progress
• In use for more than six years
Domain
1. Income
2. Employment
3. Housing
4. Food
5. Childcare
6. Children’s Education
7. Adult Education
8. Legal
9. Health Care
10. Life Skills
11. Mental Health
12. Substance Abuse
13. Family Relations
14. Mobility
15. Community Involvement
16. Safety
17. Parenting Skills
18. Credit (Optional)
Scale
1 = In Crisis
2 = Vulnerable
3 = Safe
4 = Building Capacity
5 = Empowered
Example Using the Matrix
17 Domains of Participant Self-sufficiency
• When Data Are Collected: Upon any program
entry and at program exit. Transitional housing
programs must also collect the information every
3 months after entry. Permanent housing
programs must collected the data set every 6
months after entry.
• Subjects: All persons over the age of 16
Self-Determination and Skills - Income
1.Income
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1. No Income
2. Inadequate income and/or spontaneous or
inappropriate spending.
3. Can meet basic needs with subsidy; appropriate
spending. (If the client is receiving income supports like
SSI, but still lacks enough income to meet all basic
expenses use a 3 rating)
4. Can meet basic needs and manage debt without
assistance. (If the client is receiving income supports
like SSI, and is able to balance their budget use 4)
5. Income is sufficient, well managed; has discretionary
income and is able to save.
Self-Determination and Skills - Income
Does the client have income?
No
#1
Is the income adequate to at least meet basic needs?
No
#2
Can client meet basic needs without
assistance?
No
#3
Does client have discretionary income and can save?
No
#5
#4
Innovative ways to collect data
• How to collect data out of doors, under bridges, and other
places not computer friendly:
o Scannable forms processing: design scannable paper
form that can be faxed and converted to electronic format.
o Portable computers (laptops, netbooks, smartphones) to
collect data and transmit to central database
o Wireless connection to database for real-time collection
using portable computers
o Digital imaging
o Client Id cards for clients
AIRS Taxonomy - What is it?
• AIRS = Alliance for Information and Referral Systems, a
national association, develops standards and definitions for
information and referral agencies.
• Taxonomy is a standard used by agencies to communicate
human services in a standard language across program
areas.
• Each service has a term, code and description:
• Term: rent payment assistance
• Code: BH-3800.7000 (B= Basic Need, H=Housing/Shelter,
3800=Housing Expense Assistance)
• Description: "Programs that make rental payments for
people who are at risk of eviction without assistance. Rent
payment assistance programs may have age, income,
disablility, need or other eligibility requirements."
Why use AIRS?
• Required by HMIS
implementations
• Standardizes reporting
across programs for better
analysis, accountability and
reporting.
• No more apples and
oranges
• Supports accreditation and
certification
• Improves program quality
through better data and
reporting
• Allows for measurement of
PATH activities within
programs and
across jurisdictions
• Updated and supported on
a regular basis
Michigan's Use of AIRS for PATH
PATH Report to AIRS Mapping
PATH Outreach Services (Ca)
Outreach Programs (TJ-6500.6300)
Street Outreach Programs (PH-8000)
Information and Referral (TJ-3000)
PATH Screening and Diagnostic (Cb)
Mental Health Evaluation (RR-5000)
Habilitation and Rehabilitation (Cc)
Rehabilitation/Habilitation Services (LR)
Community MH Services (Cd)
Psychiatric/Mental Health Support Services
(RR)
Alcohol or drug treatment (Ce)
Substance abuse Services (LX)
Staff Training (Cf)
Job Training Formats (ND-2000.3500)
Mapping continued
PATH Case Management (Cg)
Case/Care Management (PH-100.450)
Psychiatric Case Management (RR-6500)
PATH Supportive/supervisory
services (Ch)
Basic Needs (B)
PATH Referrals (Ci)
Health Care Referrals (LH-2600)
Housing Search and Information (BH-3900)
Job Training Resource Lists (ND-2000.3510)
Educational Support Services (HL)
PATH Housing services (Cj1)
Home Rehabilitation Services (BH-3000.3550.390)
PATH Housing services (Cj2)
Housing Counseling (BH-3700)
Questions?
• David Youngs
– [email protected]
• James McNemar
– [email protected]